Individual
CARRIE JIMENEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENEVA RD, BREWSTER, NY 10509-2339
(845) 808-1640
(845) 808-4092
Mailing address
27 E LOVELL ST, MAHOPAC, NY 10541-3927
(914) 548-5080
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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